Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10178 | Date 05/10/2021 |
| Token No | SM/21-22/5763 05/10/2021 | Serial | 014 Last Visit: 09/09/2024 |
| Patient Name | Mr. SK MIRAJ | Contact No | 9088312391 |
| Address | CHATRA MUSALMAN PARA | Age | 10 Years,7 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||